Individual provider Active NPI

Jessica Kaitlyn Eichten, COTA

  • Feeding, Eating & Swallowing Occupational Therapy Assistant
  • Tallahassee, FL
National Provider Identifier
1407350077
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Feeding, Eating & Swallowing Occupational Therapy AssistantTaxonomy code 224ZF0002X
License
OTA20018 Issued in FL
Practice address
1738 Thomasville Rd
Tallahassee, FL 32303-5754
Phone
(850) 909-5521
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Feeding, Eating & Swallowing Occupational Therapy Assistant 224ZF0002X OTA20018 FL Primary

Addresses

Primary practice location

1738 Thomasville Rd
Tallahassee, FL 32303-5754

Mailing address

2906 Olson Landing Rd
Tallahassee, FL 32308-3951
Phone (302) 727-9160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA20018FLMDFeeding, Eating & Swallowing Occupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Speech Inc CurrentSince Sep 8, 2024 Accepting new patients

Locations

1738 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 909-5521

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1407350077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 OLSON LANDING RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083951",
            "telephone_number": "302-727-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 THOMASVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035754",
            "telephone_number": "850-909-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICHTEN",
        "first_name": "JESSICA",
        "middle_name": "KAITLYN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "FL",
            "license": "OTA20018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.